Jamie Lee Blumhagen
Individual provider Active NPI Dental Hygienist · Bismarck, ND
NPI 1861910101 · NPPES record last updated Sep 7, 2017
Key facts
- NPI
- 1861910101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- Practice address
- 912 N 13TH St
Bismarck, ND 58501-4283 - Phone
- (701) 527-8593
- NPI assigned
- Sep 7, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | Yes |
Addresses
Primary practice location
912 N 13TH St
Bismarck, ND 58501-4283
Mailing address
600 E Boulevard Ave
Bismarck, ND 58505-0601
Other providers in Bismarck, ND
- Byron J Blowers
- Blue Apple Chiropractic PLLC
- Blue Apple Wellness, LLP
- Darcie Blue Earth
- Blue Skies Counseling PLLC
- Tana Bock
- Haley Boe
- Susan Mae Boehm
- Leksie Boese
- Catherine Boeser
All providers in Bismarck, ND · Dental Hygienist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.